Christian Hester, MD
Ophthalmology · Little Rock, ARNPI 1154522407
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,467 of the $3,945 with a category attached, or 62.5%. 16 manufacturers reported payments, led by Bausch & Lomb Americas Inc. at 38.9% of the total. Reporting peaked in 2024 at $1,774 and has fallen 72.7% since, to $485 in 2025. Among ophthalmology clinicians in AR with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 77 payments — averaging $51.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb Americas Inc.$2K
- Glaukos Corporation$812
- AbbVie$571
- Alcon$272
- Oyster Point Pharma, Inc.$187
- Biotissue Holdings Inc.$107
- plus $464 from 10 others
What the payments were for
- Speaking & faculty fees$52613%
- Travel & lodging$93324%
- Food & beverage$2,46763%
- Gifts$190%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Bausch & Lomb Americas Inc. | 14 | $1,533 |
| Glaukos Corporation | 15 | $812 |
| AbbVie(2 entities) | 5 | $571 |
| Alcon | 13 | $272 |
| Oyster Point Pharma, Inc. | 3 | $187 |
| Biotissue Holdings Inc. | 3 | $107 |
| Rxsight Inc | 4 | $96 |
| Aerie Pharmaceuticals, Inc. | 6 | $90 |
| Novartis | 3 | $60 |
| Mallinckrodt Hospital Products Inc. | 2 | $54 |
| Halozyme Inc | 2 | $42 |
| Johnson & Johnson Surgical Vision, Inc. | 3 | $42 |
| Dompe US, Inc. | 1 | $27 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Kala Pharmaceuticals, Inc. | 1 | $18 |
| Eyevance Pharmaceuticals LLC | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- enVista Aspire IOL$1,122
- TENEO$1,122
- STELLARIS ELITE$1,122
- Photrexa Viscous and Photrexa$257
- KXL System$203
- Photrexa$203
- TYRVAYA$151
- CE-marked KXLA system$114
- enVista MX60 IOL$111
- IACCESS$102
- iStent inject W$102
How this compares
$3,945 in reported general payments places this provider in the 90th percentile of 125 ophthalmology providers in Arkansas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Fluorometholone | 225 | $16,467 |
| Prednisolone Acetate | 359 | $14,481 |
| ValacyclovirValacyclovir Hcl | 54 | $1,864 |
| MoxifloxacinMoxifloxacin Hcl | 57 | $1,583 |
| Loteprednol Etabonate | 11 | $1,548 |
| Dexamethasone Sodium Phosphate | 21 | $1,172 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 28 | $957 |
| Doxycycline Hyclate | 40 | $716 |
| ErythromycinErythromycin Base | 46 | $579 |
| Ketorolac Tromethamine | 24 | $439 |
| Ofloxacin | 32 | $429 |
| Timolol Maleate | 38 | $208 |
| Latanoprost | 13 | $131 |
| Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim | 12 | $77 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Little Rock
- Jennifer DoyleLittle Rock$38K
- Jonathan CascianoLittle Rock$4K
- Sami UwaydatLittle Rock$4K
- Daniel KimLittle Rock$2K
- Justin LieblongLittle Rock$2K
- Kent ZocchiLittle Rock$2K
- Lydia LaneLittle Rock$2K
- Richard MorshediLittle Rock$2K
- Susan BlairLittle Rock$2K
- Tom KornhauserLittle Rock$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.